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Intensive nutritional supplements can improve outcomes in stroke rehabilitation
M H Rabadi1, P L Coar, M Lukin
1VA Medical Center, 921 NE 13th Street, Oklahoma City, OK 73104, USA. mhrabadi@gmail.com
Neurology
|October 24, 2008
Summary
Intensive nutritional supplements significantly improved motor function and home discharge for undernourished stroke patients in rehabilitation. Cognitive function, however, did not show improvement with supplementation.
Area of Science:
- Neurology
- Nutritional Science
- Rehabilitation Medicine
Background:
- Poor nutrition is a frequent complication in stroke patients requiring inpatient rehabilitation.
- Undernourished stroke survivors often experience poorer recovery outcomes.
Purpose of the Study:
- To investigate if intensive nutritional supplementation improves outcomes in undernourished stroke patients during inpatient rehabilitation.
- To assess the impact of nutritional support on motor and cognitive function, length of stay, and discharge disposition.
Main Methods:
- A randomized, prospective, double-blind, single-center study was conducted.
- 102 undernourished stroke patients were divided into intensive or routine nutritional supplementation groups.
- Outcomes measured included Functional Independence Measure (FIM) scores, timed walk tests, and discharge disposition.
Main Results:
- Patients receiving intensive supplementation showed significant improvements in motor function (total FIM, FIM motor subscore, timed walk tests; p < 0.002).
- No significant improvement was observed in cognitive function (FIM cognition score).
- A higher percentage of patients on intensive supplementation were discharged home (p = 0.05).
Conclusions:
- Intensive nutritional supplementation enhances motor recovery in undernourished patients undergoing inpatient stroke rehabilitation.
- Readily available commercial nutritional preparations are effective for improving motor outcomes.
- Nutritional support may positively influence discharge disposition for stroke survivors.
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